THIBODAUX REGIONAL MULTI-SPECIALTY CLINIC-RACELAND
NPI 1497348379
Clinic/Center - Multi-Specialty in Raceland, LA
About Thibodaux Regional Multi-specialty Clinic-raceland NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THIBODAUX REGIONAL MULTI-SPECIALTY CLINIC-RACELAND (NPI 1497348379) is a healthcare organization registered as a multi-specialty in Raceland, Louisiana and active in the NPI registry since February 2021. The organization holds a CLIA Microscopy certificate valid through January 10, 2028 and lists Kim Legendre Boudreaux, Contract Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 11
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Thibodaux Regional Multi-specialty Clinic-raceland is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
179Medicare enrollment records show 179 clinicians reassign Medicare billing to Thibodaux Regional Multi-Specialty Clinic-Raceland, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 30
Nearest to this location (20)
See all 179Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 19D2248045
Thibodaux Regional Multi-Specialty Clinic-Raceland · Raceland, LAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Thibodaux Regional Network Development Corporation's NPI number?
The NPI number for Thibodaux Regional Network Development Corporation is 1497348379. It was assigned to this organization in the NPPES registry on February 11, 2021. The provider is doing business as Thibodaux Regional Multi-Specialty Clinic-Raceland.
Where is Thibodaux Regional Network Development Corporation located?
Thibodaux Regional Network Development Corporation is located at 4560 Highway 1 Ste 3, Raceland, LA 70394. The listed phone number is (985) 435-4831.
What is Thibodaux Regional Network Development Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Thibodaux Regional Network Development Corporation enrolled in Medicare?
Yes. Thibodaux Regional Network Development Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Thibodaux Regional Network Development Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 179 clinicians in 30 Medicare specialties reassign their Medicare billing to Thibodaux Regional Network Development Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (36), Certified Registered Nurse Anesthetist (CRNA) (32) and Obstetrics/Gynecology (15). Of these, 3 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Thibodaux Regional Network Development Corporation hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 19D2248045) is associated with this NPI, valid through January 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Thibodaux Regional Network Development Corporation accept?
Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Thibodaux Regional Network Development Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Thibodaux Regional Network Development Corporation was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Thibodaux Regional Multi-Specialty Clinic-Raceland · NPI 1497348379
Multi-Specialty organization in Raceland, Louisiana. Organization record, active in the CMS NPPES registry since February 11, 2021.
## Identity
- **NPI:** 1497348379 (Entity type: Organization)
- **Enumerated:** February 11, 2021
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Thibodaux Regional Network Development Corporation
- **Organization subpart:** No
- **Authorized official:** Kim Boudreaux, CONTRACT MANAGER
## Practice location
- **Address:** 4560 HIGHWAY 1 STE 3, Raceland, LA 70394-2779
- **Phone:** (985) 435-4831 · **Fax:** (985) 449-2513
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 179 clinicians in 30 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (36), Certified Registered Nurse Anesthetist (CRNA) (32), Obstetrics/Gynecology (15); 3 practice at this address and 17 within 10 miles; [full list](https://npiprofile.com/npi/1497348379/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 5, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1497348379) · Data from the CMS NPPES public registry.